How to Get Credentialed with Oregon Health Plan in Oregon
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
Oregon-Specific Requirements
Medicaid Information — Oregon
Agency: Oregon Health Authority
Program: Oregon Health Plan (OHP)
Portal: https://www.oregon.gov/oha/HSD/OHP
Phone: 1-800-336-6016
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Oregon.
Prepare Your Application
Complete Oregon Health Plan's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Oregon Health Plan.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Background Check
Federal/state background check required for Medicaid enrollment
CV/Resume
Work history required
Malpractice Insurance
ConditionalRequired in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Oregon Medicaid Provider Enrollment (OHP)
RequiredContact Information
Provider Enrollment
National1-800-336-6016
General Provider Inquiries
National1-800-336-6016